Myxedema: take me tohu, maimoatanga. mate thyroid

Ko te repe thyroid - he okana nui o te endocrine. Ko tōna mahi matua, ko te ki te whakawhanake i hormones motuhake (triiodothyronine, thyroxine), e whakahaere te pākia o te tinana tangata, me te pā pūnaha katoa o te tinana. I roto i tenei tuhinga, whakaaro tatou he mate rite myxedema. Ka hoki kia whakaahuatia take me tohu.

He aha te mea myxedema?

mate thyroid meinga te whanaketanga o te syndromes e rua. kia nui Production o hormones - he syndrome o hyperthyroidism. Heoi, tino nui ko te whakaiti o hormones thyroid, huaina te mea hypothyroidism.

Myxedema - tohu tino o te hypothyroidism. Tenei āhuatanga huru e huamo o te kiko mucous. Nā ki te kore o hormones thyroid i roto i te kopa kohikohi toenga hukarau e kukume wai. rawa e ki tonu papanga ki te wai, a ka whakawhanake mucosal edema.

He aha te mea te take o te myxedema?

Ka taea e Myxedema puta i tetahi tau. Wahine e mate ana i tenei mate atu pinepine atu i nga tangata, te takanga o te myxedema ratou maha tahi menopause. O te faufaa ngā he hypothyroidism i roto i nga kohungahunga, me ngā tamariki taitamariki. Nā ki hono fakahohaasi te tērā o te pākia e me te whanaketanga tinana o konä o te tamaiti. Ki te he hohonu (ki aplasia hypoplasia o te repeure ranei), me te kore e tukinotia hypothyroidism, i reira he cretinism - he puka motuhake o te retardation hinengaro i roto i ngā tamariki.

I roto i te pakeke take myxedema whara thyroid repe - huaina hypothyroidism ko te tuatahi. Heoi, ko te mahi o te mana repe i te TSH - thyroid-whakaongaonga taiki. Na reira, ki te ohorere te mahi te rapae o (puku toto whakararuraru, whētuki, mate congenital) puta hypothyroidism tuarua. hypothyroidism Tuatoru Tino onge meinga e ofatiraa o te mahi hypothalamus.

A, no te itehia te mate "myxedema" take me tohu.

Ko te kupu, nga take matua o te myxedema e whai ake nei:

• tukanga atrophic i roto i te thyroid;
• mumura o te repe repeure (thyroiditis);
• huamo;
• whētuki;
• tango o nga kopa repeure (pokanga mo te maimoatanga o te hyperthyroidism);
• radiation te rongo;
• maimoatanga o radionuclides konutawa;
• kore o te konutawa i kai;
• tango etahi taero (amiodarone, corticosteroids, tireostatiki);
• mate hopuhopu (rawa wahine hapu);
• whētuki roro me te mate, me ētahi atu.

Ka rite ki te hua, kia whakawhanake ai myxedema. He nui Take me tohu ina kōwhiri i te maimoatanga.

He aha e nga tohu haere tahi i te myxedema?

pā Mai thyroid hormones pūnaha katoa o te tinana, a he rere nga mau faaiteraa o te myxedema.

I roto i te hē nui o te thyroid hormones riro te tangata i te ahua āhuatanga - ". Mata myxedema" i hanga Kanohi edema, pupuhi te tino korerotia i runga i nga kamo, nga ngutu. Ko te kiri ha ma, kua he jaundiced, matao ki te pa, tipitipi atu, i reira he mate o tukemata, eyelashes me makawe i runga i tona matenga. Aukati uaua kanohi - fehangahangai immobile, he reira titiro tau'a.

faaite pūnaha io te i roto i te huringa hinengaro. riro uncoordinated, anuhea nekehanga. He he he whārua. ka kite a mōhiohio rawakore i te waho, tauhohenga Just kitea ki ngā tau'a ranei. te momoe tohua, mahara iti me te whakarongo. Slurred kupu a braked.

rerekē tohua i roto i te pēhanga toto, te tikanga whakararo. Raru te uaua ngakau, heke te auau ngakau - i hanga "myxedema ngakau." pūnaha miharo me te kūnatu - i reira he kōroke ma'i, raruraru o mahi nekeneke o te wahi biliary.

whakawhanake edema Mucosal.

Heke te kaha romahā o te pūkahukahu, hua i roto i wā o he apnea moe. I tua atu, huri noa i te pūkahukahu maha piki reira inu e faanane hoki manawa. huaina ana tēnei āhuatanga ko "poliserozita myxedema".

Ahakoa te hekenga i roto i te hiahia, te whanake te myxedema manawanui mōmona, whakaritea cholesterol toto mā'olunga te. Heke rongo, i reira he whango, waimaero manawa nasal. Mea pinepine whakawhanake anemia tika ki hē rino waikawa folic ranei. Na e hiahia ana koe he tafe'anga pai.

maha fakahohaasi Women huringa paheketanga, heke hua me te libido. Puta rumati, mauriora wheua kikokiko i roto i te konupūmā, kia ngāwari ki te hanga i piere. I roto i te tamariki ërä i muri i roto i te tupu me te whanaketanga whakaritea ki ō rātou hoa.

He aha te momo o te rangahau kawea i roto i atu?

He tafe'anga pai kē i roto i te ahua e taea te manawanui tikanga he myxedema tātaritanga. Heoi, ki te whakamārama i te take o te mate, me te te whakamāramatanga o tātai o te maimoatanga he tika ki te whakahaere i te maha o ngā akoranga. e kore he uaua tātaritanga o myxedema i whānui.

Taratahi tikanga tātaritanga matua, me te mau pŭpŭ tauturu. Ka taea e tikanga Basic kitea myxedema, a kua whakamahia tikanga kaiawhina ki te rapu hoki nga take, me te whakamārama i te ahua o te mate.

Hoki e taea te uru atu te rangahau i te wāhitau e whai ake nei: Moscow, huarahi Dmitry Ulyanov, 11. Institute o Endocrinology mahi nga ngā tukanga tātaritanga e whai ake nei:

1. Basic:

• he whakamātautau haumanu i te tākuta, he tafe'anga;
• he whakamātautau toto mo TSH me thyroxine free.

2. Apatoko:

• Thyroid ultrasound;
• scintigraphy ki radioisotopes;
• thyroid unuhanga kiko;
• rapunga o paturopi motuhake ki te thyroid pūtau.

Tera i te ia o te rangahau?

Whakauru ki tafe'anga ngāwari.

titiro Doctor, palpates me whakarongo ki nga whekau (ngakau, pūkahukahu). nga tohu whakaahuatia ana i runga nui e taea āwhina te rata i roto i te rapu tātaritanga.

whakakitea te tātari i te heke o ngā taumata toto o thyroxine free, engari te nuinga tino nui haere te rapunga o TSH. Tohatoha hypothyroidism subclinical, e kore e nei i haere tahi e tetahi tohumate me te kitea atu pinepine i te aituā. nui haere te reira i te taumata o TSH ko te tuatahi "pere whakaoho" i roto i te pā ana ki te whanaketanga o te hypothyroidism me myxedema i roto i ngā.

ultrasound

Thyroid ultrasound taea mātakitaki o te hanganga rerekē i roto i te repeure kiko (kōpuku, puku calcification). whakaaro ana tēnei tikanga te ki kia ngāwari ki te whakatinana me te ngā ngāwari ka reira kōrero nui. Ki te kitea myxedema, kia kia tonu maimoatanga.

scintigraphy

Ko te ngako o te scintigraphy radionuclide ko te whakataki o kanoirite iratuki o iodine pâmuhia me te aromātai o tona haaputuraa i roto i te kopa o te repe thyroid, rawa tona tohatoha me te excretion roto reira. Ki te te ultrasound te tākuta e taea te arotake i te hanganga anake o te repe, kua whakatau tata i te reira ona scintigraphy mahi. Ki te reira te mea he mate "myxedema", ka ko maha tohua te tangata i te haaputuputuraa iti o teuteu iodine rohe ruia ana ranei. Atu āhuatanga mā te whakamahi i tenei tikanga tata te maimoatanga o tini o nga mate pukupuku o nāianei.

unuhanga

He unuhanga o te repe thyroid tā te kohi i te wahi o te papanga ki ngira motuhake mō te unuhanga. I muri, kua waiho i raro i te reira ki rangahau mōkitokito me histochemical. taea tenei ki a koe te tautuhi i te tini o nga mate i te taumata pūtau me ki ite i te tukanga puku.

Whakatau i o paturopi ki thyroid kiko riro tona faufaa ka reira he kore myxedema take kitea. He mea nui ki te mohio, e kore e meinga i roto i te repe thyroid noa te hanganga o pūmua tiaki, no te mea te iti papanga o kiko tūhonohono. Otiia i roto i te tahi mau mate o te capsule riro te reira te kikokore, me kiko uma i roto i whakapā ki ngā pūtau ārai. Nō reira, ko te antibody whakaputaina e ngā pūtau repeure, e tautāwhi i tona mahi, i waho te huri i te hanganga.

He aha te mea te maimoatanga o te myxedema?

Te fariiraa i te tafe'anga i mua i tīmata therapy he whakahauanga.

Treatment myxedema ngāwari, me te he taiaki take whakakapinga therapy. Heoi, kia mahara ai e whakahoki mahi repe iho maha e kore he taea, reira, he whakahauanga me te ora te whakahaere o te raau taero. Whakapai ake i roto i te huru puta i muri i 2-3 wiki o tono o tikanga motuhake.

Kairīwhi whakamahia taero L-thyroxine ( "Levothyroxine", "Eutiroks") me analogs ona. Enei taero he whakakapi waihanga mō te taiao taiki thyroid. Horopeta rata tīpakohia takitahi i roto i ia take.

Me kï reira e kia he tuwhena rawa o te tarukino arahi ki te ritenga o te myxedema - hyperthyroidism, a ka whai i te kore o te horopeta kahore pānga i te katoa. Ka taea hoki e te whakaaetanga o te tahi atu raau taero waimaero absorption, ki te tere ake te pākia o L-thyroxine, na ki te hiahia kōrero atu tohunga i runga i te maimoatanga pahekotanga ranei.

Hea ahau e taea e haere i te tauturu?

Ka taea te whakapae te mate rata i roto i te whakamātautau tinana. Heoi, ko te maimoatanga o te myxedema maua e tafe'anga i roto i ngā hōhipera motuhake. E nehenehe te reira tari tāone endocrinological ranei o nga hōhipera rohe. Hei kawe i tikanga matatini whakamātautau o tūroro kei te maha whakahaua ki te rangahau me te whanaketanga pokapū i roto i nga pa nui. Ko tētahi o ēnei taonga, ko te "Endocrinology Center Research" (Moscow, ul. Dmitry Ulyanov, 11). Institute o Endocrinology mohiotia meka e reira e āwhina i roto i te maimoatanga o te myxedema me ētahi atu mate o tohunga mātau, ki te kawe i roto i ngā tukanga tātaritanga, me te whakaora matatini.

He aha te mea te waitohunga?

I roto i te whānui, myxedema (take me tohu whakaahuatia) - rawa huru correctable. Rongoā tino faaore te tohu i runga ake-whakaahuatia. Heoi, ki te kore whakatutuki ki te tākuta, me te kore ki te whai i ngā tohutohu i taea hua i roto i nunu'a fakatupu 'auha.